摘要
目的:以临床实践和静脉培训管理需求为导向,基于ADDIE模型构建预防中心静脉导管相关血流感染(CLABSI)专项培训课程,应用于临床实践并评价其应用效果。方法:成立专项培训组,依据ADDIE模型,结合文献研究和德尔菲专家函询设计、开发专项培训课程,并对全院护士进行理论和实践培训;比较培训前后临床护士预防CLABSI知信行水平、CLABSI标准化感染预防措施规范执行率、临床CLABSI发生率。结果:设计完成涵盖知识、素养、技能3个方面的专项培训课程,共包括15项具体培训课程;培训后临床护士预防CLABSI的知信行水平、CLABSI标准化感染预防措施规范执行率升高,CLABSI发生率下降,差异均具有统计学意义(P<0.05)。结论:基于ADDIE模型的CLABSI专项培训具有良好的实用性和科学性,有助于提高临床护士CLABSI知信行水平,提高CLABSI标准化感染预防措施规范执行率,降低CLABSI发生率,可为我国中心静脉导管输液安全管理提供借鉴和参考。
Objective:Guided by the needs of clinical practice and venous training management,a special training course for prevention of Central Line-Associated Bloodstream Infection(CLABSI)was constructed based on ADDIE model,which was applied to clinical practice and evaluated its application effect.Methods:A special training group for bloodstream infection was established.According to ADDIE model,a special training course for prevention of venous bloodstream infection was designed and developed by combining literature research and Delphi expert consultation,and theoretical and practical training was conducted for all nurses in the hospital.The level of knowledge,faith and practice of clinical nurses in preventing CLABSI,the standard implementation rate of CLABSI prevention measures and the incidence of CLABSI were compared before and after training.Results:Special training courses covering knowledge,attitude and skills were designed and completed,including 15 specific training courses.After the training,the level of knowledge,belief and practice of clinical nurses and the standard implementation rate of CLABSI prevention measures increased,the incidence of CLABSI decreased,the differences were statistically significant(P<0.05).Conclusion:The special training design of CLABSI based on ADDIE model is practical and scientific,which can help to improve the knowledge,belief and practice level of CLABSI of clinical nurses,improve the standard implementation rate of standardized infection prevention measures of CLABSI,reduce the incidence of CLABSI,and provide reference for the standardization of intravenous transfusion safety management in China.
作者
王会英
强万敏
汪洋
杨玄
WANG Huiying;QIANG Wanmin;WANG Yang;YANG Xuan(Department of Gastric Oncology,Tianjin Medical University Cancer Institute and Hospital,National Clinical Research Center for Cancer,Key Laboratory of Cancer Prevention and Therapy,Tianjin,Tianjin's Clinical Research Center for Cancer,Tianjin,300060,China)
出处
《中国护理管理》
CSCD
2022年第6期825-829,共5页
Chinese Nursing Management
基金
天津医科大学肿瘤医院护理创新人才项目(HL2021-03)
天津市卫生健康科技项目(ZC20010)。
